Siskin Subacute West
1 Sisken Plaza, Chattanooga, TN 37403 · Hamilton County · 108 certified beds · avg 34 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Oct 29, 2023 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 29, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 29, 2023 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 29, 2023 · F-0837
The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 29, 2023 · F-0867
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 6, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Oct 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. |
| Oct 29, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Oct 29, 2023 | F · Potential for harm, facility-wide | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Oct 29, 2023 | F · Potential for harm, facility-wide | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 29, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 5 | K ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $93,919.
| Date | Type | Amount / length |
|---|---|---|
| Oct 29, 2023 | Fine | $93,919 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.88 | 3.62 | 3.95 | top 2% in Tennessee; top 5% in the U.S. |
| Registered Nurse hours | 1.69 | 0.57 | 0.69 | top 2% in Tennessee; top 3% in the U.S. |
| Weekend total nurse staffing | 5.66 | 3.15 | 3.50 | top 1% in Tennessee; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.23 | 0.39 | 0.48 | top 1% in Tennessee; top 3% in the U.S. |
| Total nursing staff turnover (%) | 26.4 | 48.9 | 45.8 | top 5% in Tennessee; top 9% in the U.S. |
| RN turnover (%) | 31.6 | 43.2 | 42.9 | top 30% in Tennessee; top 32% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.86, RN 1.69, weekend 5.64. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Siskin Hospital for Physical Rehabilitation | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2014 |
| Arant, Charles | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Arnhart, Carol | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2014 |
| Arnhart, Carol | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Berke, Monique | Individual | Corporate Director | NOT APPLICABLE | 07/01/2014 |
| Binder, David | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Decosimo, Rose | Individual | Corporate Director | NOT APPLICABLE | 11/01/2016 |
| Fillauer, Michael | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Gibson, Matthew | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/29/2020 |
| Gibson, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/29/2020 |
| Gibson, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 01/29/2020 |
| Godbold, William | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Graefe, Maria | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Harper, Trudy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Harper, Trudy | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2017 |
| Krogh, Jones | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Krogh, Jones | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2017 |
| Mathis, Michael | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Mathis, Michael | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| McCright, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Chattanooga | 2.1 mi | Chattanooga, TN | ★★★★☆ | 3/5 | |
| Life Care Center of Red Bank | 4.5 mi | Chattanooga, TN | ★★☆☆☆ | 2/5 | |
| NHC Healthcare Rossville | 5.4 mi | Rossville, GA | ★★☆☆☆ | 1/5 | |
| Life Care Center of East Ridge | 6.3 mi | Chattanooga, TN | ★★★☆☆ | 3/5 | |
| Ascension Living Alexian Village Tennessee | 6.7 mi | Signal Mountain, TN | ★☆☆☆☆ | 1/5 | |
| Pruitthealth - Fort Oglethorpe | 7.0 mi | Fort Oglethorpe, GA | ★★★☆☆ | 3/5 | |
| Center for Advanced Rehab at Parkside, the | 7.3 mi | Rossville, GA | ★★★☆☆ | 3/5 | |
| NHC Healthcare Ft Oglethorpe | 7.9 mi | Fort Oglethorpe, GA | ★★★★★ | 4/5 | |
| Life Care Center of Hixson | 8.4 mi | Hixson, TN | ★☆☆☆☆ | 1/5 | |
| The Health Center at Standifer Place | 9.0 mi | Chattanooga, TN | ★★★★☆ | 4/5 | |
| Chattanooga Health and Rehab Center | 10.6 mi | Chattanooga, TN | ★☆☆☆☆ | 2/5 | |
| Life Care Center of Ooltewah | 13.4 mi | Ooltewah, TN | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445008.